Neuropsychological outcome following pallidotomy and thalamotomy for Parkinson's disease.

Abstract:

:Cognitive and emotional outcomes were assessed after unilateral posteroventral pallidotomy (PVP) and ventral intermediate nucleus thalamotomy (Vim-Th) in patients suffering from idiopathic Parkinson's disease (PD). PVP was performed on 12 PD patients (8 men and 4 women, mean age 56.4 years, 6 left lesions and 6 right lesions) and Vim-Th was performed on 13 PD patients (5 men and 8 women, mean age 63.2 years, 6 left lesions and 7 right lesions). In both the PVP group and the Vim-Th group, the Hoehn and Yahr staging scores (p < 0.01) and the Unified Parkinson's Disease Rating Scale activities of daily living and motor scores (p < 0.001) improved significantly. No significant changes in cognitive function were observed 4 weeks after unilateral PVP or Vim-Th. PVP produced a significant decline in Hasegawa's Dementia Scale-Revised scores in immediate postoperative assessments (p < 0.05), which resolved 4 weeks after surgery. While the Minnesota Multiphasic Personality Inventory depression and social introversion scores improved significantly in the Vim-Th group (p < 0.01 and p < 0.05, respectively), the hypochondriasis and hypomania scores improved significantly in the PVP group (p < 0.01 and p < 0.05, respectively). We conclude that PVP and Vim-Th influence postoperative emotional status rather than postoperative cognitive status.

authors

Fukuda M,Kameyama S,Yoshino M,Tanaka R,Narabayashi H

doi

10.1159/000056458

keywords:

subject

Has Abstract

pub_date

2000-01-01 00:00:00

pages

11-20

issue

1

eissn

1011-6125

issn

1423-0372

pii

56458

journal_volume

74

pub_type

杂志文章
  • Leksell Gamma Knife treatment of tic douloureux.

    abstract::Stereotactic radiosurgery under local anesthesia with the Leksell Gamma Knife can effectively treat some patients with recurrent tic douloureux after unsuccessful medical/surgical procedures. Seven of 12 patients have shown complete relief or improvement of their trigeminal neuralgia. No complications have been observ...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000100663

    authors: Rand RW,Jacques DB,Melbye RW,Copcutt BG,Levenick MN,Fisher MR

    更新日期:1993-01-01 00:00:00

  • Black holes, white dwarfs and supernovas: imaging after radiosurgery.

    abstract:PURPOSE:To evaluate the imaging and pathological correlates of successful or risk-related stereotactic radiosurgery (SR). Methods and Materials. The ten-year Gamma Knife experience in 2,344 patients at the University of Pittsburgh was reviewed. In addition, the results or radiosurgery primate, rat, and mouse models wer...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000056401

    authors: Lunsford LD,Kondziolka D,Maitz A,Flickinger JC

    更新日期:1998-10-01 00:00:00

  • Gamma Knife Radiosurgery of Brainstem Cavernous Malformations.

    abstract:BACKGROUND/AIMS:Our study aimed to evaluate the efficiency and morbidity of Gamma Knife radiosurgery (GKS) in the treatment of hemorrhagic brainstem cavernous malformations (CMs). METHODS:We included in this study all patients who underwent GKS for the treatment of a hemorrhagic brainstem CM(s) in our institution betw...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000452844

    authors: Aboukais R,Estrade L,Devos P,Blond S,Lejeune JP,Reyns N

    更新日期:2016-01-01 00:00:00

  • Stereotactic gamma radiosurgery for intracranial vascular malformations and tumors: report of the initial North American experience in 331 patients.

    abstract::We reviewed the initial experience with 331 consecutive patients treated during the first 2 years of operation of the University of Pittsburgh Gamma Unit. Among 178 patients with vascular malformations, 161 had angiographically demonstrable arteriovenous malformations, and 17 had angiographically occult malformations....

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000100269

    authors: Coffey RJ,Lunsford LD,Bissonette D,Flickinger JC

    更新日期:1990-01-01 00:00:00

  • Development of a Standardized Cranial Phantom for Training and Optimization of Functional Stereotactic Operations.

    abstract:BACKGROUND:In recent years, simulations based on phantom models have become increasingly popular in the medical field. In the field of functional and stereotactic neurosurgery, a cranial phantom would be useful to train operative techniques, such as stereo-electroencephalography (SEEG), to establish new methods as well...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000489581

    authors: Krüger MT,Coenen VA,Egger K,Shah M,Reinacher PC

    更新日期:2018-01-01 00:00:00

  • Trigeminal Neuralgia Secondary to Meningiomas and Vestibular Schwannoma Is Improved after Stereotactic Radiosurgery: A Systematic Review and Meta-Analysis.

    abstract:INTRODUCTION:Trigeminal neuralgia (TN) secondary to tumors is encountered in up to 6% of patients with facial pain syndromes and is considered to be associated with tumors affecting the trigeminal nerve pathways. The most frequent are meningiomas and vestibular schwannomas (VS). Stereotactic radiosurgery (SRS) has emer...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1159/000509842

    authors: Peciu-Florianu I,Régis J,Levivier M,Dedeciusova M,Reyns N,Tuleasca C

    更新日期:2020-09-09 00:00:00

  • Thalamotomy and caudatotomy with the Gamma Knife as a treatment for parkinsonism with a comment on lesion sizes.

    abstract::Radiosurgery with the Gamma Knife was performed in 12 patients with parkinsonism. In 9 patients small lesions were created in the head of the caudate nucleus bilaterally. Two patients underwent radiosurgical thalamotomy, and 1 patient was treated with caudatotomy and thalamotomy. After a follow-up period of 1-12 month...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000098781

    authors: Friehs GM,Ojakangas CL,Pachatz P,Schröttner O,Ott E,Pendl G

    更新日期:1995-01-01 00:00:00

  • Subthalamic Nucleus Deep Brain Stimulation in Parkinson's Disease: Valuable Programming Insights from Anecdotal Observations.

    abstract::In this article, we use a case to illustrate and discuss some practically important learning points about programming subthalamic nucleus deep brain stimulation for Parkinson's disease patients and highlight clinically relevant issues resulting from anatomical and device-related anomalies. These include the phenomenon...

    journal_title:Stereotactic and functional neurosurgery

    pub_type:

    doi:10.1159/000505701

    authors: Dayal V,Akram H,Zrinzo L,Limousin P,Foltynie T

    更新日期:2020-01-01 00:00:00

  • Stereotactic neurosurgery for writer's cramp: report of two cases with an overview of the literature.

    abstract:BACKGROUND:Writer's cramp is a specific movement disorder with hand muscle cramps in writing, being classified into focal and action-specific dystonia. Stereotactic surgery, such as thalamotomy and deep brain stimulation (DBS), has been reported for writer's cramp; however, the number of reported cases is still scarce ...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000366004

    authors: Asahi T,Koh M,Kashiwazaki D,Kuroda S

    更新日期:2014-01-01 00:00:00

  • Combined Unilateral Posteroventral Pallidotomy and Ventral Intermediate Nucleus Thalamotomy in Tremor-Dominant Parkinson's Disease versus Posteroventral Pallidotomy Alone: A Prospective Comparative Study.

    abstract:BACKGROUND:The optimum target in surgery for Parkinson's disease (PD) is still controversial, especially in patients with tremor-dominant PD. We aim to compare results in tremor-dominant patients undergoing pallidotomy vs. those undergoing simultaneous posteroventral pallidotomy (PVP) and ventral intermediate nucleus (...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000492229

    authors: Fayed ZY,Radwan H,Aziz M,Eid M,Mansour AH,Nosseir M,Anwer H,Elserry T,Abdel Ghany WA

    更新日期:2018-01-01 00:00:00

  • Ultrasound-Guided DREZotomy: Technical Note.

    abstract::Dorsal root entry zone (DREZ) lesioning is still used as a choice of treatment for some painful conditions as well as spasticity in selected patients. The most commonly used techniques to perform DREZotomy are the microsurgical one and DREZ radiofrequency (RF) coagulation. The technical difficulties using punctures to...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000500491

    authors: Monaco BA,Lopes AJM,Teixeira MJ

    更新日期:2019-01-01 00:00:00

  • Resting-State Blood Oxygen Level-Dependent Functional MRI: A Paradigm Shift in Preoperative Brain Mapping.

    abstract::Currently, functional magnetic resonance imaging (fMRI) facilitates a preoperative awareness of an association of an eloquent region with a tumor. This information gives the neurosurgeon helpful information that can aid in creating a surgical strategy. Typically, task-based fMRI has been employed to preoperatively loc...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1159/000442424

    authors: Leuthardt EC,Allen M,Kamran M,Hawasli AH,Snyder AZ,Hacker CD,Mitchell TJ,Shimony JS

    更新日期:2015-01-01 00:00:00

  • A 13-year experience with epilepsy surgery.

    abstract::Between 1985 and 1997, 563 therapeutic craniotomies were performed: 311 anterior temporal (ATL) and 158 extramesial temporal (XMT) resections, 67 callosotomies, 20 hemispherectomies and 7 multiple subpial transections. Sixty-seven percent of nonlesional ATL cases were seizure free (SF), and 76% of nonlesional ATL case...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000029763

    authors: Smith JR,Lee MR,Jenkins PD,King DW,Murro AM,Park YD,Lee GP,Meador KJ,Loring DW

    更新日期:1999-01-01 00:00:00

  • Quantitative on-line analysis of physiological data for lesion placement in pallidotomy.

    abstract::A computerized method of determining the focal point of electrical activity in the pallidum of parkinsonian patients was developed using on-line quantitative physiological data analysis. Thirty patients in a series of 70 were studied in depth. Neuronal activity was recorded from the pallidum using a semi-microelectrod...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000048378

    authors: Lehman RM,Micheli-Tzanakou E,Medl A,Hamilton JL

    更新日期:2000-01-01 00:00:00

  • Pressure monitoring inside Meckel's cave during percutaneous microcompression of gasserian ganglion.

    abstract::During percutaneous microcompression of the gasserian ganglion for the relief of trigeminal neuralgia, a computerized technique for monitoring the pressure inside Meckel's cave was employed in 22 patients. A dedicated transducer connected to a computer records the balloon inflation pressure. Its variations are discern...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000099391

    authors: Zanusso M,Curri D,Landi A,Colombo F,Volpin L,Cervellini P

    更新日期:1991-01-01 00:00:00

  • Epilepsy: principles of surgical management.

    abstract::In his keynote address, the author reviews early work in the surgical management of the epilepsies and presents a state-of-the-art review of current basic science and clinical indications for and results from corpus callosotomy for the treatment of seizure disorders. ...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1159/000098621

    authors: Marino R

    更新日期:1994-01-01 00:00:00

  • How does the stereotactic workstation help the neurosurgeon?

    abstract::At the KUL University of Leuven a workstation for the planning of neurosurgical stereotactic procedures has been developed. Its benefits are illustrated in three exemplary cases. The CT and/or MR images, acquired under stereotactic conditions, are transmitted via a PACS network (picture archiving and communication sys...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000100284

    authors: Nuttin B,Knauth M,Gybels J,Verbeeck R,Vandermeulen D,Michiels J,Suetens P,Marchal G

    更新日期:1994-01-01 00:00:00

  • Gamma Knife Radiosurgery for Metastatic Brain Tumors from Malignant Melanomas: A Japanese Multi-Institutional Cooperative and Retrospective Cohort Study (JLGK1501).

    abstract:BACKGROUND:The incidences of metastatic brain tumors from malignant melanomas have increased and survival has been prolonged by novel molecular targeted agents and immunotherapy. However, malignant melanomas are uncommon in Asian populations. OBJECTIVES:We retrospectively analyzed treatment efficacy and identified pro...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000489948

    authors: Matsunaga S,Shuto T,Yamamoto M,Yomo S,Kondoh T,Kobayashi T,Sato M,Okamoto H,Serizawa T,Nagano O,Kenai H,Obara T,Iwai Y,Yasuda S,Hasegawa T,Kubo K,Shidoh S,Mori K,Hayashi M,Inoue A,Onoue S,Gondo M

    更新日期:2018-01-01 00:00:00

  • Confounding factors in diagnostics of MGMT promoter methylation status in glioblastomas in stereotactic biopsies.

    abstract:BACKGROUND:In nonresectable glioblastoma (GBM), stereotactic biopsies are performed to retrieve tissue for diagnostic purposes. The analysis of O6-methylguanine-DNA methyltransferase (MGMT) promoter methylation adds prognostic and predictive information. OBJECTIVES:The aim of the study was to detect confounding factor...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000360582

    authors: Weise LM,Harter PN,Eibach S,Braczynski AK,Dunst M,Rieger J,Bähr O,Hattingen E,Steinbach JP,Plate KH,Seifert V,Mittelbronn M

    更新日期:2014-01-01 00:00:00

  • Efficacy of corticosteroids in hearing preservation after radiosurgery for vestibular schwannoma: a prospective study.

    abstract:OBJECTIVES:We prospectively investigated the efficacy of corticosteroid medication in salvaging acute hearing deterioration after radiosurgery for vestibular schwannoma (VS) and analyzed prognostic factors for hearing preservation. METHODS:Forty-one patients with serviceable hearing treated with gamma knife radiosurge...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 临床试验,杂志文章

    doi:10.1159/000321913

    authors: Kim JW,Kim DG,Paek SH,Chung HT,Kim YH,Han JH,Park CK,Jung HW

    更新日期:2011-01-01 00:00:00

  • A tremulous twiddler.

    abstract::Twiddler's syndrome describes the intentional external manipulation or spontaneous rotation of implanted devices such as cardiac pacemakers. Here we report the same phenomenon occurring in a patient with an implanted deep brain stimulator generator. The clinical syndrome is described and potential technical nuances to...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000155231

    authors: Israel Z,Spivak A

    更新日期:2008-01-01 00:00:00

  • Robot for CT-guided stereotactic neurosurgery.

    abstract::At the 1989 meeting of the World Society for Stereotactic and Functional Neurosurgery in Maebashi, the authors presented the concept and design of a stereotactic neurosurgical robot. The first prototype has now been completed and has entered clinical testing. The characteristics are as follows. The robot is positioned...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000100300

    authors: Fankhauser H,Glauser D,Flury P,Piguet Y,Epitaux M,Favre J,Meuli RA

    更新日期:1994-01-01 00:00:00

  • A comprehensive review of radiosurgery for cerebral arteriovenous malformations: outcomes, predictive factors, and grading scales.

    abstract::The management of cerebral arteriovenous malformations (AVMs) continues to present a challenge to neurosurgeons. The natural history of this condition, as well as the morbidity and mortality of therapeutic interventions, remains incompletely elucidated. Predictive factors and grading scales in AVM management allow ris...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1159/000126945

    authors: Starke RM,Komotar RJ,Hwang BY,Fischer LE,Otten ML,Merkow MB,Garrett MC,Isaacson SR,Connolly ES Jr

    更新日期:2008-01-01 00:00:00

  • Frame-based and frameless endoscopic procedures in the third ventricle.

    abstract::Stereotactic guidance is useful for planning an accurate trajectory to the third ventricle. A guiding block with a ball joint was developed for frame-based endoscopy and adaptors for arm-based and armless navigation systems. Between 1992 and 1996, 52 patients were operated on endoscopically in the third ventricle unde...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000099907

    authors: Grunert P,Hopf N,Perneczky A

    更新日期:1997-01-01 00:00:00

  • Effects of bilateral deep brain stimulation of the subthalamic nucleus on olfactory function in Parkinson's disease patients.

    abstract:OBJECTIVE:The goal of the present study was to evaluate the effects of bilateral deep brain stimulation (DBS) of the subthalamic nucleus (STN) on olfaction in patients with Parkinson's disease (PD). METHODS:15 patients suffering from sporadic PD-related dysosmia were implanted with bilateral electrodes aimed at the ST...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000131662

    authors: Guo X,Gao G,Wang X,Li L,Li W,Liang Q,Zhang H

    更新日期:2008-01-01 00:00:00

  • Intraoperative cortical mapping has low sensitivity for the detection of motor function in proximity to a tumor in the primary motor area.

    abstract::Six patients with brain tumors within or near the primary motor cortex underwent preoperative functional magnetic resonance imaging (fMRI) and intraoperative cortical mapping, and the accuracy of those techniques for localization of the primary motor cortex and motor function beside the tumor were determined by compar...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000088160

    authors: Shinoura N,Yamada R,Kodama T,Suzuki Y,Takahashi M,Yagi K

    更新日期:2005-01-01 00:00:00

  • Analysis of parameters for epidural spinal cord stimulation. 3. Topographical distribution of paresthesiae--a preliminary analysis of 266 combinations with contacts implanted in the midcervical and midthoracic vertebral levels.

    abstract::As a part of the systematic analysis of parameters involved in electrical epidural spinal cord stimulation therapy, distribution of paresthesiae in accordance with the position of contacts, as related to midline and vertebral level of contacts, was investigated. A preliminary analysis performed for 266 combinations ha...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000100632

    authors: Tulgar M,He J,Barolat G,Ketcik B,Struijk H,Holsheimer J

    更新日期:1993-01-01 00:00:00

  • MRI-guided stereotactic thalamotomy for cerebral palsy patients with mixed dyskinesia.

    abstract::The author has performed 108 stereotactic thalamotomies using MRI (MGSTs) without ventriculography in 77 cerebral palsy (CP) patients with dyskinesia(s) from January 1992 to January 1997. The clinical results were verified in terms of improvement of major preoperative symptom and patient's (or relative's) satisfaction...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000099891

    authors: Lee KH

    更新日期:1997-01-01 00:00:00

  • On the origin of oscillopsia during pedunculopontine stimulation.

    abstract::We report a case of induced oscillopsia caused by deep brain stimulation (DBS) of the pedunculopontine nucleus (PPN). Recent reports have described involuntary oscillopsia during DBS of the PPN that patients have described as trembling vision. Here we substantiate this observation using infra-red eye tracking. It has ...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000335871

    authors: Jenkinson N,Brittain JS,Hicks SL,Kennard C,Aziz TZ

    更新日期:2012-01-01 00:00:00

  • Gamma knife radiosurgery as the first surgery for trigeminal neuralgia.

    abstract::To evaluate the role of Gamma Knife radiosurgery as the first surgical therapy in the management of medically refractory trigeminal neuralgia, we reviewed outcomes on our first 23 patients who had radiosurgery as primary surgical therapy. These patients represented 19% of our overall series. Mean patient age was 66 ye...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000056421

    authors: Kondziolka D,Lunsford LD,Flickinger JC

    更新日期:1998-10-01 00:00:00